Northern Counties Health Care

185 Sherman Drive St. Johnsbury, VT 05819
Dental Procedures
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Preventive Care

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Adult Dental Cleaning$960%$96 Medium
Child Dental Cleaning$790%$79 Medium
Sealant placed on the tooth surface to prevent decay$570%$57 Medium
Topical fluoride varnish application$500%$50 Medium

Diagnostic Services

Other Dental Services

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Maintenance Therapy - Periodontal$1440%$144 Medium
Tooth Extraction (Elevation and/or forceps removal)$1700%$170 Medium